心肺复苏术-英文.ppt

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1、Cardio Pulmonary Resuscitation心肺复苏术(CPR)RespiratorydepartmentXiyanwang(王西艳)WhyshouldwelearntheCPR?Why?Despiteimportantadvancesinprevention,cardiacarrestremainsasubstantialpublichealthproblemandaleadingcauseofdeathinmanypartsoftheworld.TheestimatedincidenceofEMS(emergencymedicalser

2、vices)-treatedout-of-hospitalcardiacarrestintheChinaisabout35to40/100000persons/year.Why?StudieshaveshowntheimportanceofimmediateCPRfollowedbydefibrillationwithin3-5minutesofsuddenVF(VentricularFibrillation)cardiacarrestimprovesurvival.♦IncitiessuchasSeattlewhereCPRtrainingiswides

3、preadanddefibrillationbyEMSpersonnelfollowsquickly,thesurvivalrateisabout30%.♦IncitessuchasNewYork,withoutthoseadvantages,thesurvivalrateisonly1-2%.Why?Therearemanylivesandlife-yearslostbecauseappropriateresuscitationisnotattempted.MostofthepublicknowlittleaboutthedetailsofCPR.Whe

4、n?●Cardiacarrest●NotbreathingornotmakingsufficientrespiratoryeffortontheirownHow?●C(Circulation)●A(Airway)●B(Breathing)--2010AmericanHeartAssociationGuidelinesforCardiopulmonaryResuscitationandEmergencyCardiovascularCareCirculation:RestorebloodcirculationwithchestcompressionsCheck

5、thesafetyoftheentironmentPutthepersononhis/herbackonafirmsurface.Kneelnexttotheperson’sneckandshoulders.Circulation:Restorebloodcirculationwithchestcompressions4.Checkthepulseandbreathat5-10seconds(count1001.1002…..1007)Usetheindexandmiddlefingerstocheckthepulseofcarotidatery(them

6、iddleofanterioredgesernocleidomastoid)Airway:CleartheairwayPutyourfaceneartheperson’smouthandlookforthechestmotionatthesametime(LookforchestmotionListenfornormalbreathsoundsFeelfortheperson’sbreathonyourcheekandear)●Ifthepersonisn’tbreathingnormally,beginartificialrespiration.5.St

7、arttheemergencyresponsesystem,suchasphone120、catchAED（automaticexternaldifibrillator）…..Circulation:Restorebloodcirculationwithchestcompressions6.Placetheheelofonehandoverthecenteroftheperson’schest,betweenthenipples.Placeyourotherhandontopofthefiesthand.Keepyourelbowsstraightandp

8、ositionyourshouldersdirectlyabove